Value and Quality of Care in Head and Neck Oncology

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Takes , R P , Halmos , G B , Ridge , J A , Bossi , P , Merkx , M A W , Rinaldo , A , Sanabria , A , Smeele , L E , Mäkitie , A A & Ferlito , A 2020 , ' Value and Quality of Care in Head and Neck Oncology ' , Current oncology reports , vol. 22 , no. 9 , 92 . https://doi.org/10.1007/s11912-020-00952-5

Title: Value and Quality of Care in Head and Neck Oncology
Author: Takes, Robert P.; Halmos, Gyorgy B.; Ridge, John A.; Bossi, Paolo; Merkx, Matthias A. W.; Rinaldo, Alessandra; Sanabria, Alvaro; Smeele, Ludi E.; Mäkitie, Antti A.; Ferlito, Alfio
Other contributor: University of Helsinki, HUS Head and Neck Center




Date: 2020-07-10
Language: eng
Number of pages: 10
Belongs to series: Current oncology reports
ISSN: 1523-3790
DOI: https://doi.org/10.1007/s11912-020-00952-5
URI: http://hdl.handle.net/10138/319188
Abstract: Purpose of ReviewThe concept of value-based health care (VBHC) was articulated more than a decade ago. However, its clinical implementation remains an on-going process and a particularly demanding one for the domain of head and neck cancer (HNC). These cancers often present with fast growing tumors in functionally and cosmetically sensitive sites and afflict patients with differing circumstances and comorbidity. Moreover, the various treatment modalities and protocols have different effects on functional outcomes. Hence, the interpretation of what constitutes VBHC in head and neck oncology remains challenging.Recent FindingsThis monograph reviews developments in specific aspects of VBHC for HNC patients, including establishment of registries and quality indices (such as infrastructure, process, and outcome indicators). It emphasizes the importance of the multidisciplinary team, "time to treatment intervals," and adherence to guidelines. The discussion addresses major indicators including survival, quality of life and functional outcomes, and adverse events. Also, strengths and weaknesses of nomograms, prognostic and decision models, and variation of care warrant attention.SummaryHealth care professionals, together with patients, must properly define quality and relevant outcomes, both for the individual patient as well as the HNC population. It is essential to capture and organize the relevant data so that they can be analyzed and the results used to improve both outcomes and value.
Subject: Head and neck
Cancer
Quality of care
Indicators
Value-based health care
PATIENT-CENTERED OUTCOMES
MULTIDISCIPLINARY TEAM MEETINGS
CLINICAL-PRACTICE
GUIDELINE DEVELOPMENT
TREATMENT INITIATION
INCREASING TIME
HOSPITAL VOLUME
WAITING-TIMES
STANDARD SET
CANCER CARE
3122 Cancers
3125 Otorhinolaryngology, ophthalmology
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